Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 7 Issue 2

Thrower’s Fracture in a Young Boy: A Case Report

Dott A Famoso1, Dott C Cicio2, Dott G Caff1, Dott ssa R Denaro2 and Dott S Bonfiglio1*

1U.O.S.D. Ortopedia e Traumatologia, ARNAS Garibaldi Nesima, Catania, Italy
2Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U. Policlinico Rodolico San Marco, University of Catania, Catania, Italy

*Corresponding Author: Dott S Bonfiglio, U.O.S.D. Ortopedia e Traumatologia, ARNAS Garibaldi Nesima, Catania, Italy.

Received: January 02, 2024; Published: January 25, 2024

Abstract

We describe a case report of a young amateur softball player with a spiral midshaft humerus fracture. A thrower’s fractures are spiral fractures of the humerus caused by forceful throwing of a ball. Although these fractures have been cited in the literature, little research exists regarding the significance of stress fractures and fatigue injuries that may precede these injuries. We treated this fracture with an unlocked elastic intramedullary nail. Thrower’s fractures are less frequent than fractures related to direct trauma. In this paper we analyze the risk factors and the biomechanism behind this fracture. Knowledge of this fracture can help find the correct diagnosis without secondary images or biopsy, and the knowledge of the risk factors and injury’s mechanism in the population can help reduce the risk they will occur in the future.

Keywords: Humerus; Fracture; Spiral; Throw; Throwers; Pitch; Muscular

References

  1. Miller A., et al. “Thrower's fracture of the humerus”. Orthopedic Clinics of North America 4 (2014): 565-569.
  2. Callaghan EB., et al. “Ball-thrower's fracture of the humerus”. Skeletal Radiology 6 (2004): 355-358.
  3. Kaplan H., et al. “Report of eight cases of humeral fracture following the throwing of hand grenades”. Archives of Orthopaedic and Trauma Surgery1-2 (1998): 50-52.
  4. Arfwidsson S. “Missile-throwing fracture of the shaft of the humerus”. Acta Chirurgica Scandinavica 3 (1957): 229-233.
  5. Ashhurst APC. “Fractures of the humerus by muscular violence”. Univ Penn Med Bull 17 (1906): 336-339.
  6. Bingham El. “Fractures of the humerus from muscular violence”. United States Armed Forces Medical Journal 1 (1959): 22-25.
  7. DiCicco JD., et al. “Fracture of the shaft of the humerus secondary to muscular violence”. Journal of Orthopaedic Trauma1 (1993): 90-93.
  8. Wicks ED., et al. “Missed Thrower's Fracture of the Humerus in a Pediatric Athlete: A Case Report”. Journal of Emergency Medicine 4 (2018): 547-552.
  9. Caviglia H., et al. “Pediatric fractures of the humerus”. Clinical Orthopaedics and Related Research 432 (2005): 49-56.
  10. GARTLAND JJ. “Management of supracondylar fractures of the humerus in children”. Surgery, Gynecology and Obstetrics 2 (1959): 145-154.
  11. Kocher MS., et al. “Upper extremity injuries in the paediatric athlete”. Sports Medicine 2 (2000): 117-135.
  12. Lefèvre Y., et al. “Proximal humerus fractures in children and adolescents”. Orthopaedics and Traumatology: Surgery and Research 1 (2014): S149-156.
  13. Pahlavan S., et al. “Proximal humerus fractures in the pediatric population: a systematic review”. Journal of Children's Orthopaedics 3 (2011): 187-194.
  14. Lee CS., et al. “Humeral shaft fracture treatment in the elite throwing athlete: a unique application of flexible intramedullary nailing”. Case Reports in Orthopedics 2013 (2013):
  15. Weseley MS and Barenfeld PA. “Ball throwers' fracture of the humerus. Six case reports”. Clinical Orthopaedics and Related Research 64 (1969): 153-156.
  16. Branch T., et al. “Spontaneous fractures of the humerus during pitching. A series of 12 cases”. The American Journal of Sports Medicine 4 (1992): 468-470.
  17. Chao SL., et al. “A mechanism of spiral fracture of the humerus: a report of 129 cases following the throwing of hand grenades”. Journal of Trauma 7 (1971): 602-605.
  18. Hennigan SP., et al. “Throwing-induced humeral shaft fracture in skeletally immature adolescents”. Orthopedics6 (1999): 621-622.
  19. Linn RM and Kriegshauser LA. “Ball thrower's fracture of the humerus. A case report”. The American Journal of Sports Medicine 2 (1991): 194-197.
  20. Ogawa K and Yoshida A. “Throwing fracture of the humeral shaft. An analysis of 90 patients”. The American Journal of Sports Medicine 2 (1998): 242-246.
  21. Allen ME. “Stress fracture of the humerus. A case study”. The American Journal of Sports Medicine 3 (1984): 244-245.
  22. Hall RF and Pankovich AM. “Ender nailing of acute fractures of the humerus. A study of closed fixation by intramedullary nails without reaming”. The Journal of Bone and Joint Surgery. American Volume 4 (1987): 558-567.
  23. Fleisig GS., et al. “Biomechanics of overhand throwing with implications for injuries”. Sports Medicine 6 (1996): 421-437.
  24. Curtin P., et al. “Thrower's fracture of the humerus with radial nerve palsy: an unfamiliar softball injury”. British Journal of Sports Medicine 11 (2005): e40.
  25. Gregersen HN. “Fractures of the humerus from muscular violence”. Acta Orthopaedica Scandinavica 6 (1971): 506-512.
  26. Sabick MB., et al. “Humeral torque in professional baseball pitchers”. The American Journal of Sports Medicine 4 (2004): 892-898.
  27. Kuschner SH and Lane CS. “Recurrent fracture of the humerus in a softball player”. American Journal of Orthopedics (Belle Mead, N.J.)11 (1999): 654-656.
  28. Evans PA., et al. “Thrower's fracture: a comparison of two presentations of a rare fracture”. Journal of Accident and Emergency Medicine 3 (1995): 222-224.
  29. Bontempo E and Trager SL. “Ball thrower's fracture of the humerus associated with radial nerve palsy”. Orthopedics 6 (1996): 537-540.
  30. Shao YC., et al. “Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. The Journal of Bone and Joint Surgery. British Volume 12 (2005): 1647-1652.
  31. Holstein A and Lewis Gm. “Fractures of the Humerus with Radial-Nerve Paralysis”. The Journal of Bone and Joint Surgery. American Volume 45 (1963): 1382-1388.
  32. Lieber J., et al. “Implant removal associated complications after ESIN osteosynthesis in pediatric fractures”. European Journal of Trauma and Emergency Surgery 5 (2022): 3471-3478.
  33. Lu D., et al. “Management of pin tract infection in pediatric supracondylar humerus fractures: a comparative study of three methods”. European Journal of Pediatrics 5 (2017): 615-620.
  34. R Kasser and JH Beaty. “Femoral Shaft Fractures,” In: J. H. Beaty, J. R. Kasser, Eds., Reckwood and Wilkins ‘Fracture in Children”, 5th Edition, Lippincott Williams and Wilkins, Philadelphia (2001): 941-980.

Citation

Citation: Dott S Bonfiglio., et al. “Thrower’s Fracture in a Young Boy: A Case Report".Acta Scientific Orthopaedics 7.2 (2024): 64-68.

Copyright

Copyright: © 2024 Dott S Bonfiglio., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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